Individual provider Active NPI

Robert J Ostroski, D.D.S.,M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Farmington, CT
National Provider Identifier
1205043452
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
4867 Issued in CT
Practice address
1 Mill LN
Farmington, CT 06032-2216
Phone
(860) 677-8031
Fax
(860) 677-8083
NPI assigned
May 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 4867 CT Primary

Addresses

Primary practice location

1 Mill LN
Farmington, CT 06032-2216

Mailing address

1 Mill LN
Farmington, CT 06032-2216
Phone (860) 677-8031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
4867CTMDGeriatric Physical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205043452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MILL LN",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322216",
            "telephone_number": "860-677-8031",
            "fax_number": "860-677-8083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MILL LN",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322216",
            "telephone_number": "860-677-8031",
            "fax_number": "860-677-8083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTROSKI",
        "first_name": "ROBERT",
        "middle_name": "J",
        "credential": "D.D.S.,M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CT",
            "license": "4867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.